1. Identification of needs in a high risk populationBy
Hamda Qotba, B.Med.Sc, M.D, ABCM

2. What is need? Capacity to benefit from intervention
The ability to benefit from health care (DoH)
Dr.Hamda Qotba

3. Health
Is a state of complete physical, mental, and social well-being and not merely absences of disease or infirmity (WHO)
Dr.Hamda Qotba

4. Health Needs Assessment (HNA)
Process of exploring the relationship between the health in a community and the resources available to address those problems in order to achieve a desired outcome
It’s Process not task
Of no benefit by it self it’s a tool
helps to achieve other objectives
Dr.Hamda Qotba

5. Systematic method of identifying unmet health and health care needs of a population and making changes to meet these unmet needs
Applications:
Service planning and resources allocation
Program planning, management and development
Program evaluation
It helps in socio-political changes
Dr.Hamda Qotba

6. Different aspects of needs
Felt needs: what people consider and say they need (what people feel)
Expressed needs: needs expressed by action (visiting doctor, demand)
Normative needs: what health professional define as need based on provision of service
Dr.Hamda Qotba

7. Approach to needs assessment
Epidemiological approach
Comparative approach
Corporate approach
Epidemiological approach : depends on incidence, prevalence, mortality, and morbidity data
Comparative approach: comparing levels of services between different population
Corporate approach:trying to get all interested parties to work to gather
Dr.Hamda Qotba

8. 10 steps of health need assessment
profile your population
measure the extend of the problem
(prevelence, incindence )
calculate the expected number of cases
collect and analyze routin data on service utilization
calculate unmet needs or excessive service provision
segment your population into diffrent strata
Profile your population: in terms of age, gender, environmental factors, and life style
Measure the extent of the problem: by gathering some data of incidence and prevalence
Calculate the expected number of cases: prevalence X population/1000
Collect service utilization data: number or percentage of people accessing the service
Calculate unmet needs:expected number of cases( step 3) – current number of people who are using the service (step4)
Segment your population: total population, parents, high risk groups,people with disease, care giver………
Review current evidence:effectiveness of health education, counselling, exercise, healthy life style……….
Measure your population expectation:through interviews, questionnaire, focus group, health panel…….
Seek opinion: engage professionals and those people working in the field
review curent evidence on the effectivness of intervention
measure your population perceptions and expectations
seek the opinions of professional about the size of the problem, best practice and delivery plan
project type and size of the action programs and services need to deal with the identified problem
Dr.Hamda Qotba

9. CHD in Qatar
Total population in Qatar In 1999 was 173,000 while the age group >15years accounts for 101,000 (53%), CHD prevalence among >15 years was (13%), those who access the services were according to hospital records were 8909(68%)
Example of HNA IN CHD IN QATAR
Step 1 total population in Qatar is 173,000 from which >15 years 101,000 (53%)
Step 2 prevalence of CHD is 13% according to family health survey
Step 3 expected number= 13 X 101/1000 =13130
Step 4 those who access the service 8909 (68%) from (100%) CHD population according to hospital records
Step 5 unmet needs= (100%) (68%) = 4221 (32%)
Step 6 segment your population like obese people, smoking, hypertensive ………..
Step 7 review current evidence like: health education in regards to (stop smoking, healthy diet, active life)……
Dr.Hamda Qotba

10. The risk factors of CHD (NFS)
Smoking
Physically inactive lifestyles
Poor diets
Excess salt intake
Obesity
Alcohol
Diabetes
Dr.Hamda Qotba

11. 10 steps of health need assessment
Dr.Hamda Qotba